Tworek Cindy, Horn Kimberly A, Anderson Robert H, Chertok Ilana, Danek Robin L, Holmes Alan, Adkins Bruce
Department of Pharmaceutical Systems and Policy, WVU School of Pharmacy, Morgantown, WV 26506, USA.
W V Med J. 2013 Mar-Apr;109(2):16-21.
Despite known dangers of smoking, a majority of pregnant women continue to smoke or relapse following delivery. West Virginia women have high unmet needs for smoking cessation, and the prenatal period presents a critical and unique opportunity for education and quitting assistance. West Virginia's Fax-to-Quit program uses provider-faxed referrals to the Quitline to engage smokers and connect them with cessation services. A 12-month feasibility evaluation of this Fax-to-Quit program for pregnant women was conducted. In February 2009, providers and staff from three OB/GYN clinics in three adjoining West Virginia counties were recruited. All participating sites received an intensive half-day training program. Adult pregnant smokers receiving prenatal care in these OB/GYN clinic sites were eligible to participate. Recruitment sites screened pregnant women for smoking; assessed readiness-to-quit; and enrolled consenting participants in the Fax-to-Quit Program. The Quitline measured cessation attempts with six-month follow-up of enrolled participants. Between March-December 2009, 58 referrals were made at these OB/GYN clinic sites, with 15 women (25.9%) enrolling in Quitline services. These enrolled women account for approximately one-quarter of calls from pregnant smokers to the West Virginia Quitline in the past 12 months. Contact, communication, and cooperation with office staff were relevant and important to successful project implementation. Findings indicate that Fax-to-Quit is feasible to engage providers and pregnant smokers with the West Virginia Quitline. Successful referrals and enrollment demonstrate Fax-to-Quit may support cessation by increasing Quitline use and connecting pregnant women who smoke with quitting services through provider-faxed referrals to the West Virginia Quitline.
尽管吸烟存在已知风险，但大多数孕妇在孕期仍继续吸烟，或在分娩后复吸。西弗吉尼亚州的女性对戒烟服务的需求远未得到满足，而孕期是开展教育和提供戒烟帮助的关键且独特的时机。西弗吉尼亚州的“传真戒烟”项目利用医疗服务提供者传真转介至戒烟热线的方式，让吸烟者参与进来，并为他们提供戒烟服务。针对该“传真戒烟”项目对孕妇的效果开展了为期12个月的可行性评估。2009年2月，招募了西弗吉尼亚州三个相邻县的三家妇产科诊所的医疗服务提供者和工作人员。所有参与的机构都接受了为期半天的强化培训。在这些妇产科诊所接受产前护理的成年吸烟孕妇有资格参与。招募点对孕妇进行吸烟筛查；评估其戒烟意愿；并让同意参与的孕妇加入“传真戒烟”项目。戒烟热线通过对已登记参与者进行为期六个月的随访来衡量戒烟尝试情况。在2009年3月至12月期间,这些妇产科诊所共进行了58次转介，有15名女性（25.9%）登记使用了戒烟热线服务。在过去12个月里，这些登记的女性约占拨打西弗吉尼亚戒烟热线的吸烟孕妇来电总数的四分之一。与办公室工作人员的联系、沟通与合作对项目的成功实施至关重要。研究结果表明，“传真戒烟”项目在促使医疗服务提供者和吸烟孕妇与西弗吉尼亚戒烟热线建立联系方面是可行的。成功的转介和登记表明，“传真戒烟”项目可能通过增加戒烟热线的使用，并通过医疗服务提供者传真转介至西弗吉尼亚戒烟热线，将吸烟孕妇与戒烟服务联系起来，从而支持戒烟。
